
	<div style="display: %%GLOBAL_HideForm%%">
		<form onSubmit="return CheckForm()" action="%%GLOBAL_FormAction%%" method="post">
		<table class="BodyPanel">
		<tr>
			<td class="Heading2">%%GLOBAL_PageTitle%%</td>
		</tr>
		<tr>
			<td class="Text">%%LNG_questUnsubscribeIntro%%</td>
		</tr>
		<tr>
			<td>
				<table class="FormPanel">
				<tr>
					<td class="FieldLabel" valign="top">&nbsp;&nbsp;&nbsp;%%LNG_questUnsubscribeFrom%%:</td>
					<td valign="top" class="Text">
						<input type="radio" name="type" value="single" class="Field50" checked />%%LNG_questThisQuestion%%<br />
						<input type="radio" name="type" value="all"class="Field50" />%%LNG_questAllQuestions%%
					</td>
				</tr>
				<tr>
					<td>&nbsp;</td>
					<td>
						<input type="submit" value="%%LNG_questUnsubscribe%%" />
					</td>
				</tr>
				</table>
			</td>
		</tr>
		</table>
		<input type="hidden" name="subscriberid" value="%%GLOBAL_SubscriberId%%" />
		<input type="hidden" name="confirmcode" value="%%GLOBAL_ConfirmCode%%" />
		</form>
	</div>
	<div style="display: %%GLOBAL_HideMessage%%">
		<table class="BodyPanel">
		<tr>
			<td class="Heading2">%%GLOBAL_PageTitle%%</td>
		</tr>
		<tr>
			<td class="Text">%%GLOBAL_Message%%</td>
		</tr>
		<tr>
			<td class="Text"><a href="%%GLOBAL_ContinueUrl%%">%%LNG_questContinue%%</a></td>
		</tr>
		</table>
	</div>

	<script type="text/javascript" language="javascript">

		function CheckForm()
		{
			return true;
		}

	</script>
